This week I was able to have a very unique evaluation opportunity. I received multiple phone calls from my sister and my mom while I was clinically experiencing with Hannah. When I checked my phone, I immediately called them back and tried to figure out what was wrong. My sister had had an accident at her gymnastics class where she thought her spotter said to do two backhand springs, but he only told her to do one. He spotted her on the first one, but did not expect her to keep going and did not spot her on her second backhand spring. When she went back the second time, her arms gave out and she landed directly on her back. She had bruising on her spinous processes from the impact, but had intense shoulder pain. There was no bruising or obvious deformity along her shoulder or upper back, but she had pain in the midrange of her range of motion that was relieved when she got to the top of her range of motion. She could not bring her arm across her chest due to pain. I instructed her on how to do an empty can test which was positive. She was point tender in the middle of her deltoid.
When my mom arrived home, I instructed her through FaceTime on how to perform an anterior apprehension test, which was negative. I also instructed my mom on how to perform active and passive range of motion. The active ROM was very painful, but the passive ROM caused no pain at all. I checked back again with her later that night, and she had pain with shoulder flexion around 30 degrees, when before the pain began around 45 degrees. My first concern was that she had injured her rotator cuff muscles; however, that next morning she was still in some pain but was able to function fairly well. She took volleyball off for the rest of the week, and is now ready to play again after some good rest and stretching.
This experience showed me that it is important to keep a level head. I am very protective over my sister, and my first instinct was to advise my mom to take her to the hospital because of her pain level. However, after asking her lots of questions and finding signs as well as I could through the phone, I had to go against my instinct and advise my mom to not take her to the doctor just yet. Luckily, I believe that it was a minor muscular injury that was able to quickly heal with rest. This experience helped to remind me that it is important to be rational, even when the first response tells you otherwise.
This week I had three attempts from the PBL that we did for Beth’s clinical class on head and face injuries.
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